| Glass House Counseling Llc | |
|
4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 | |
| (480) 519-5256 | |
| Not Available |
| Full Name | Glass House Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4111 E Valley Auto Dr, Mesa, Arizona |
| Authorized Official Name and Position | Marisa Marvin (OWNER) |
| Authorized Official Contact | 4805195256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glass House Counseling Llc 4150 E Sierra Madre Ave Gilbert AZ 85296-3084 Ph: () - | Glass House Counseling Llc 4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 Ph: (480) 519-5256 |
| NPI Number | 1891231163 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 0143568618 |
|---|---|
| Medicare Enrollment ID | O20190207000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891231163 | NPI | - | NPPES |
| 15935 | Other | AZ | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15935 (Arizona) | Primary |
| Provider Name | Marisa B Marvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831633049 PECOS PAC ID: 8921389693 Enrollment ID: I20170111003537 |
Wendy Hart Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 | |
Maricopa Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 | |
Supreme Positive Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 | |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 | |
Ohana Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 | |
Circle Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 | |
Madcap Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 230, Mesa, AZ 85202 Phone: 602-767-7115 |